NPIMap

Organization Active NPI

Dycora Transitional Health - Abbotsford LLC

  • Skilled Nursing Facility
  • Abbotsford, WI
National Provider Identifier
1003368200
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2874 Issued in WI
Legal business name
DYCORA TRANSITIONAL HEALTH - ABBOTSFORD LLC
Practice address
600 E Elm St
Abbotsford, WI 54405-9682
Phone
(715) 223-2359
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Hawkins
Title
Executive
Phone
(715) 223-2359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2874 WI Primary

Addresses

Primary practice location

600 E Elm St
Abbotsford, WI 54405-9682

Mailing address

600 E Elm St
Abbotsford, WI 54405-9682
Phone (715) 223-2359

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1003368200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E ELM ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059682",
            "telephone_number": "715-223-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E ELM ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059682",
            "telephone_number": "715-223-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH - ABBOTSFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "715-223-2359"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbotsford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.